| NPI | 1902236235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE COSTA Accounts Manager 208-323-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT-1259) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |